Here - EWMA 2013

FREE PAPER SESSION: QUALITY OF LIFE AND NUTRITION
Free Paper Session: Quality of Life and Nutrition
35
Effects of a specific arginine-enriched oral nutritional
supplement on the healing process of chronic wounds in
non-malnourished patients: a multicenter case study in the
Netherlands
Jacques Neyens 1 , Armand Rondas 1 , Martin van Leen 2 , Jos Schols 1
1 Maastricht University (Maastricht, Netherlands);
2 Avoord (Etten-Leur, Netherlands).
Aim: A series of cases has been conducted to record the effect of a specific arginineenriched
oral nutritional supplement (ONS) in patients with pressure ulcers (PUs), leg
ulcers or diabetic foot ulcers. Primary outcome parameters: 1) wound size 2) patients’
compliance and appreciation of ONS.
Methods: Design: case report study, approved by ethic committee, conducted in two
Dutch nursing homes and one wound centre. Twenty-two non-malnourished patients
with a PU, leg ulcer or diabetic foot ulcer, existing > 3 weeks were included. All
participants were offered 1-3 servings per day of a specific arginine-enriched ONS in
addition to their regular diet and standard wound care, for 12 weeks max. Besides
patient characteristics, information on wound size (cm 2 ), product intake plus appreciation
and photographs were collected every month.
Results: Fourteen females and eight males (mean age: 80) were included. Main
diagnosis: arterial leg ulcer (n=5), venous leg ulcer (n=6), diabetic foot ulcer (n=2) and
PU (n=9). Within 7-12 weeks, complete healing occurred in 11 ulcers, 10 showed a
partial wound size reduction (35% to 75%) and one kept unchanged.
Overall, the daily ONS servings, on average 400 ml, were fully consumed and the
appreciation was good (n=22).
Conclusion: Nutritional support with a specific arginine-enriched ONS seems to be
beneficial for the healing of different types of chronic ulcers in non-malnourished
patients. More research into this field should be performed.
36
Free Paper Session: Quality of Life and Nutrition
Hyperbaric oxygenation in surgical treatment of patients
with diabetic foot
Andrey Anikin 1 , Goryunov Sergei 2
1 City hospital No 56 (Moscow, Russia);
2 City hospital No15 (Moscow, Russia).
Aim: To improve results of treatment of patients from diabetic foot.
Methods: The results of treatment were analyzed in 67 patients with syndromeof
diabetic foot, including 35 patients whose treatment was performed in accordance with
the generally accepted standards (basic group) and 32 patients whose combined
therapy involved hyperbaric oxygenation sessions (control group).
Doppler ultrasound of lower limbs artery was used to study macrohemodynamics.
Microcirculation was examined by transcutaneous oximetry. Microcirculation on lower
limbs we estimated as: compensated (TcPO2>30 mm.hg.), subcompensated (TcPO2
20-30 mm.hg.) and decompensated (TcPO2